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How L.A. County is trying to remake addiction treatment — no more 'business as usual'

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How L.A. County is trying to remake addiction treatment — no more 'business as usual'

Gary Horejsi wrestled with the decision before him, knowing a life could be in his hands.

It was the third time that the woman had used drugs or alcohol since coming to CRI-Help, which runs a 135-bed residential facility in North Hollywood where people are treated for substance use disorder.

CRI-Help needed to be a safe place for people grappling with their addictions. In the past, others had been removed for less. Horejsi, the clinical director, had the final say on whether she should be discharged.

He perused her file on his computer. The woman was still trying, CRI-Help staffers told him. She hadn’t shared drugs with anyone. And if she were to leave, the risks of an overdose were graver than before.

Horejsi decided to let her stay.

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“Things can’t be business as usual anymore,” their chief executive, Brandon Fernandez, later said at a CRI-Help staff meeting. If someone leaves treatment and resumes using drugs the same way they were before, “that could very well look like them dying.”

“So are we going to be willing to do something different?”

“Things can’t be business as usual anymore,” CRI-Help Chief Executive Brandon Fernandez told his staff at a meeting in North Hollywood on April 10.

(Myung J. Chun / Los Angeles Times)

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Fernandez had gathered CRI-Help staff in their North Hollywood conference room to talk about a Los Angeles County initiative that could reshape such decisions. It’s called Reaching the 95% — or R95 — and its goal is to engage with more people than the fraction of Angelenos already getting addiction treatment.

Across the country, more than 48 million people had a drug or alcohol use disorder, according to the latest results from the National Survey on Drug Use and Health. Only 13 million received treatment in the previous year. Among those who did not get treatment, roughly 95% said they did not think that they should.

Those numbers have collided with the grim toll of fentanyl, an especially potent opioid that has driven up deaths across the country. In Los Angeles County, the number of overdose deaths tied to fentanyl skyrocketed between 2016 and 2022, soaring from 109 to 1,910, according to a county report.

“We can’t just take the approach that we’ve been taking and kind of assume that everyone wants the services that we offer,” said Dr. Gary Tsai, director of the Substance Abuse Prevention and Control division at the L.A. County Department of Public Health. “That’s just not the reality.”

His department is trying to nudge addiction treatment facilities to change their approach, by offering financial incentives for those that meet R95 requirements. Among them: changing their rules to not automatically eject people who have a “lapse” of drug use.

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Fernandez, whose organization is participating in R95, said abstinence is still its aspirational goal — and “we still have the ability to use our own clinical judgment on a case-by-case basis,” such as if people endanger other participants. But “we shouldn’t have blanket policies.”

To get R95 funding, they also cannot require people to be totally abstinent before being admitted. And under R95, treatment programs are also being encouraged to partner with syringe programs rooted in “harm reduction” — a philosophy focused on minimizing the harmful effects of drug use — to address the needs of people who may not want to enter or remain in treatment.

Some treatment providers “view us as the enemy instead of as allies,” said Soma Snakeoil, executive director of the Sidewalk Project, which provides Narcan spray to reverse overdoses and other services on L.A.’s Skid Row.

With R95, she said, “the biggest change is that harm reduction organizations and treatment providers are talking to each other in a way that was not happening before.”

A woman wearing gloves gives first aid to a woman on the sidewalk with an open wound on her foot.

Soma Snakeoil, executive director of the Sidewalk Project, gives first aid to a woman with an open wound on her foot last year in Los Angeles.

(Francine Orr / Los Angeles Times)

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The county is also prodding addiction treatment facilities to reexamine whether the way they operate could be turning people away, and look more closely at the “customer experience.” Tsai compared the situation to a restaurant drawing few customers: “How do we get more people in the door?”

Too often, “the drug dealers do a much better job of delivering their product to our patients than we do,” said Dr. Randolph Holmes, chair of government affairs for the California Society of Addiction Medicine.

When Johnny Guerrero decided to get off Skid Row and go into residential treatment in Los Angeles, he was initially turned away because he had arrived “late — maybe 10 minutes late,” the 35-year-old said.

He was only able to get in, he said, because the harm reduction worker who had taken him to the facility let him stay the night at her home, then brought him back the next morning. Even then, “there was so much paperwork. I was so dopesick. There was just hurdle after hurdle after hurdle.”

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“They did not make it easy for an addict to get help,” Guerrero said.

In many cases, “the biggest barrier is just being able to get somebody on the phone” with a treatment provider, said Amanda Cowan, executive director of Community Health Project LA, which provides clean syringes and other services to people who use drugs. “When people are ready, they are ready in that moment.”

As of late March, roughly half of the addiction treatment providers that contract with L.A. County were on track to become “R95 Champions,” which could yield hundreds of thousands of dollars each in additional funding.

A building interior, with a staircase and chairs. In the center two hands hold up a sign reading "We care."

CRI-Help’s George T. Pfleger center in North Hollywood.

(Myung J. Chun / Los Angeles Times)

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To get those funds, they must turn in admissions and discharge policies that adhere to the R95 guidelines, as well as an “engagement policy.” They are also supposed to meet R95 requirements in one other area of their choice, which could include a “customer walkthrough” to see what might turn away clients.

CRI-Help, for instance, had decided to change how it asks newcomers to undergo a search. “The last thing we want to do is trigger someone’s trauma history and potentially have them walk out the door,” Fernandez said.

To ensure it was consistently done with sensitivity, CRI-Help drew up a script for staffers, emphasizing that consenting to a search would help maintain a safe facility. The hope is that “they feel they’re doing something as a part of a community — versus being forced to undergo something that’s uncomfortable.”

Staffers also tell them that if they have any drugs to hand over, “there’s not going to be any consequence, you can still come into treatment,” Fernandez said. “And if we find them on you, there still won’t be any negative consequences.”

The L.A. County push comes as state and federal officials have stressed the need for “low barrier” approaches to addiction care. Even cutting back on drug use can have positive results, researchers have found.

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But some of the changes can be at odds with long-standing beliefs among treatment providers, many of whom got into the field after successfully battling their own addictions in programs firmly focused on abstinence.

Many in the field think “this is what works” because it did work for them, said Vitka Eisen, chief executive of HealthRight 360, another R95 participant. But “we’re the survivors, and we don’t talk to those who didn’t survive.”

Addiction researchers have long called to reexamine how people are treated for substance use disorders. More than a decade ago, a Columbia University center found that “much of what passes for ‘treatment’ of addiction bears little resemblance to the treatment of other health conditions.”

“This is inexcusable given decades of accumulated scientific evidence attesting to the fact that addiction is a brain disease,” the National Center on Addiction and Substance Abuse lamented in its report.

Experts argue that part of the problem is that addiction treatment has long been separated from the rest of the healthcare system. Richard Rawson, senior advisor to UCLA Integrated Substance Abuse Programs, said a major shift was the emergence of buprenorphine, a medication for opioid addiction that could be prescribed in ordinary clinics just like medicines for other chronic conditions.

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But some Southern California treatment providers have viewed using buprenorphine and other such medications as short of sobriety, UC San Diego researchers found — even as California has ushered in requirements for licensed treatment facilities to either offer or help people access such medications.

Addiction is now much more widely understood as a medical condition, but “how much of that philosophy actually gets down to the level of the counselor?” Rawson said. “I think that’s still a work in progress.”

Tsai said a challenge in rolling out R95 is the ingrained idea that “you’re ready or not” for substance use treatment. But “we don’t actually treat any other health condition that way,” he said. “You don’t tell someone with diabetes, ‘Your blood sugar has to be completely under control, and then you’ll be ready for treatment.’”

In North Hollywood, counselors and other CRI-Help employees seated around the conference table studied the R95 goals printed on an L.A. County handout. One staffer said she was struggling with a specific statement, particularly for people in a residential setting: “Requiring abstinence is too high of a bar” for treatment.

Fernandez decided to share his own story. More than a decade ago, he was struggling with drug use, which had worsened after the death of his father. He was unemployed and didn’t have a stable place to live. When an outpatient counselor suggested residential treatment, he initially brushed off the suggestion.

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A person looks over papers while seated at a conference room table

CRI-Help’s staffers had questions and concerns about the changing approach to addiction treatment but ultimately seemed supportive.

(Myung J. Chun / Los Angeles Times)

He changed his mind after a “tough weekend,” but had no intention of abstaining from all drugs in the long term. Fernandez said he was nonetheless welcomed at CRI-Help: “Let’s just help you out for now.”

“I came here begrudgingly with a total attitude that I was going to continue smoking weed when I left treatment. I definitely wasn’t going to stop drinking,” even as he recognized that other things he was doing might be a problem, Fernandez told the CRI-Help employees.

Among those who had gone to treatment, he asked the group, “were you ready for total abstinence on Day One?”

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“No. That wasn’t even my plan,” the same staffer replied with a rueful laugh.

Still, she and others were anxious about how they would keep everyone safe if clients used drugs, especially if they tried to bring them into the facility. “That worries me a little bit,” she said.

“It worries me too,” Fernandez said.

What preoccupies CRI-Help staff is how to balance the needs of people who have had a “lapse” into drug use with maintaining a safe environment for other clients grappling with addiction.

Horejsi said in an interview that whenever someone uses — even if they don’t share their drugs — “everyone knows, and that in itself does have an effect on people. Sometimes people will feel less safe.”

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But Horejsi stressed to the group that “we’re already not discharging people for using” alone.

When people have relapsed, the North Hollywood center has monitored them one-on-one in its television room until staff are sure they are safe, then decided on their next steps. Some have ultimately been moved to another CRI-Help residential facility to continue getting treatment and have a “fresh start,” he said.

The clinical director also urged his co-workers to look back at the many changes CRI-Help had already undergone, such as starting to offer medication for addiction treatment. He reminded them that years ago, CRI-Help clients could be discharged if a doctor had given them an opioid pill at the hospital.

A woman speaks

Mary Grayson, a longtime staff member at CRI-Help, spoke positively of the organizations changes over the years.

(Myung J. Chun / Los Angeles Times)

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“What about when we discharged people because they talked about getting — they glorified drugs?” said Mary Grayson, a longtime CRI-Help employee.

Leaning forward in her seat, Grayson reminded her co-workers that “CRI-Help is not what it was when I walked through those doors 25 years ago — thank God!”

It started with “two shacks on this property. Two raggedy shacks. And look at where we are now,” she said. “Without us changing and growing, we won’t be able to be who we are.”

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Maps of Two Cicada Broods, Reunited After 221 Years

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Maps of Two Cicada Broods, Reunited After 221 Years

This spring, two broods of cicadas will emerge in the Midwest and the Southeast, in their first dual appearance since 1803.

A cicada lays eggs in an apple twig.

“Insects: Their Ways and Means of Living,” by Robert E. Snodgrass, 1930, via the Biodiversity Heritage Library

Brood XIII, the Northern Illinois Brood, hatched and burrowed into the ground 17 years ago, in 2007.

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Brood XIX, the Great Southern Brood, hatched in 2011 and has spent 13 years underground, sipping sap from tree roots.

The entomologist Charles L. Marlatt published a detailed map of Brood XIX, the largest of the 13-year cicada broods, in 1907.

Historic map of cicada emergence.

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He also mapped the expected emergence of Brood XIII in 1922.

Historic map of cicada emergence.

This spring the two broods will surface together, and are expected to cover a similar range.

Modern map of cicada emergence.

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Up to a trillion cicadas will rise from the warming ground to molt, sing, mate, lay eggs and die.

A Name and a Number

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Charles L. Marlatt proposed using Roman numerals to identify the regional groups of 13- and 17-year periodical cicadas, beginning with Brood I in 1893.

A brood can include up to three or four cicada species, all emerging at the same time and singing different songs. Long cicada lifespans of 13 or 17 years spent underground have spawned many theories, and may have evolved to reduce the likelihood of different broods surfacing at the same time.

Large broods might sprawl across a dozen or more states, while a small brood might only span a few counties. Brood VII is the smallest, limited to a small part of New York State and at risk of disappearing.

At least two named broods are thought to have vanished: Brood XXI was last seen in 1870, and Brood XI in 1954.

Not Since the Louisiana Purchase

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Brood XIII and Brood XIX will emerge together this year, for the first time in more than two centuries. But only in small patches of Illinois are they likely to come out of the ground in the same place.

In 1786 and 1790, the two broods burrowed into Native lands, divided by the Mississippi River into nominally Spanish territory and the new nation of the United States.

An historic map of the United States from 1783.

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Brood XIII entered the ground in 1786, and Brood XIX in 1790. (Expected 2024 ranges are overlaid on the map.)

An historic map of the United States from 1783.

As the ground was warming in April 1803, France sold the rights to the territory of Louisiana, which it acquired from Spain in 1800, to the United States for $15 million.

An historic map of the United States from 1801.

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That spring, Brood XIII and Brood XIX emerged together into a newly enlarged United States.

An historic map of the United States from 1803.

Their descendants — 13 and 17 generations later — are now poised to return, and will not sing together again until 2245.

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An historic map of the United States from 1868.

A ‘Great Visitation’

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After an emergence of Brood X cicadas in 1919, the naturalist Harry A. Allard wrote:

Although the incessant concerts of the periodical cicadas persisting from morning until night became almost disquieting at times, I felt a positive sadness when I realized that the great visitation was over, and there was silence in the world again, and all were dead that had so recently lived and filled the world with noise and movement.

It was almost a painful silence, and I could not but feel that I had lived to witness one of the great events of existence, comparable to the occurrence of a notable eclipse or the invasion of a great comet.

Then again the event marked a definite period in my life, and I could not but wonder how changed would be my surroundings, my experiences, my attitude toward life, should I live to see them occur again seventeen years later.

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The transformation of a cicada nymph (1), into an adult (10).

“The Periodical Cicada,” by Charles L. Marlatt, 1907, via the Biodiversity Heritage Library

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What are the blue blobs washing up on SoCal beaches? Welcome to Velella velella Valhalla

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What are the blue blobs washing up on SoCal beaches? Welcome to Velella velella Valhalla

The corpses are washing up by the thousands on Southern California’s beaches: a transparent ringed oval like a giant thumbprint 2 to 3 inches long, with a sail-like fin running diagonally down the length of the body.

Those only recently stranded from the sea still have their rich, cobalt-blue color, a pigment that provides both camouflage and protection from the sun’s UV rays during their life on the open ocean.

Aggressive and impactful reporting on climate change, the environment, health and science.

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These intriguing creatures are Velella velella, known also as by-the-wind sailors or, in marine biology circles, “the zooplankton so nice they named it twice,” said Anya Stajner, a biological oceanography PhD student at UC San Diego’s Scripps Institution of Oceanography.

A jellyfish relative that spends the vast majority of its life on the surface of the open sea, velella move at the mercy of the wind, drifting over the ocean with no means of locomotion other than the sails atop their bodies. They tend to wash up on the U.S. West Coast in the spring, when wind conditions beach them onshore.

Springtime velella sightings documented on community science platforms like iNaturalist spiked both this year and last, though scientists say it’s too early to know if this indicates a rise in the animal’s actual numbers.

Velella are an elusive species whose vast habitat and unusual life cycle make them difficult to study. Though they were documented for the first time in 1758, we still don’t know exactly what their range is or how long they live.

These beaching events confront us with a little-understood but essential facet of marine ecology — and may become more common as the oceans warm.

“Zooplankton” — the tiny creatures at the base of the marine food chain — “are sort of this invisible group of animals in the ocean,” Stajner said. “Nobody really knows anything about them. No one really cares about them. But then during these mass Velella velella strandings, all of a sudden there’s this link to this hidden part of the ocean that most of us don’t get to experience.”

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What looks like an individual Velella velella is actually a colony of teeny multicellular animals, or zooids, each with their own function, that come together to make a single organism. They’re carnivorous creatures that use stinging tentacles hanging below the surface to catch prey such as copepods, fish eggs, larval fish and smaller plankton.

Unlike their fellow hydrozoa, the Portuguese man o’ war, the toxin in their tentacles isn’t strong enough to injure humans. Nevertheless, “I wouldn’t encourage anyone to touch their mouth or their eyes after they pick one up on the beach,” said Nate Jaros, senior director of fishes and invertebrates at the Aquarium of the Pacific in Long Beach.

Velella that end their lives on California beaches typically have sails that run diagonally from left to right along the length of their bodies, an orientation that catches the onshore winds heading in this direction. As the organism’s carcass dries in the sun and the soft tissues decay, the blue color disappears, leaving the transparent chitinous float behind.

“The wind really just brings them to our doorstep in the right conditions,” Jaros said. “But they’re designed as open ocean animals. They’re not designed to interact with the shoreline, which is usually why they meet their demise when they come into contact with the shore.”

1

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Velella velella seen under a microscope

2 Magnified Velella velella samples

3 Close-up image of Velella velella, showing tentacles and blue, green and brown hues

1. Anya Stajner put Velella velella under a microscope. 2. Magnified, you can see more than blue in the organism. “That green and brown coloration comes from their algae symbionts,” Stajner said. 3. Notice the tentacles too. (Anya Stajner)

Velella show up en masse when two key factors coincide, Stajner said: an upwelling of food-rich, colder water from deeper in the ocean, followed by shoreward winds and currents that direct the colonies to beaches.

A 2021 paper from researchers at the University of Washington found a third variable that appears to correlate with more velella sightings: unusually high sea surface temperatures.

After looking at data over a 20-year period, the researchers found that warmer-than-average winter sea surface temperatures followed by onshore winds tended to correlate with higher numbers of velella strandings the following spring, from Washington to Northern California.

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“The spring transition toward slightly more onshore winds happens every year, but the warmer winter conditions are episodic,” said co-author Julia K. Parrish, a University of Washington biologist who runs the Coastal Observation and Seabird Survey Team community science project.

Given that sea surface temperatures have been consistently above the historical average every day since March 2023, the current velella bloom is consistent with those findings.

Previous research has found that gelatinous zooplankton like velella and their fellow jellyfish thrive in warmer waters, portending an era some scientists have referred to as the “rise of slime.”

Other winners of a slimy new epoch would be ocean sunfish, a giant bony fish whose individuals can clock in at more than 2,000 pounds and consume jellyfish — and velella — in mass quantities. Ocean sunfish sightings tend to rise when velella observations do, Jaros said.

“The ocean sunfish will actually kind of put their heads out of the water as they eat these. It resembles Pac-Man eating pellets,” he said. (KTLA-TV published a picture of just that this week.)

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Though velella blooms are ephemeral, we don’t yet know how long any individual colony lives. The blue seafaring colonies are themselves asexual, though they bud off tiny transparent medusas that are thought to go to the deep sea and reproduce sexually there, Stajner said. The fertilized egg then evolves into a float that returns to the surface and forms another colony.

A woman on a boat wearing a blue beanie and holding a Velella velella specimen

Anya Stajner, a PhD student at Scripps, collected by-the-wind sailors but was unable to keep them alive in a lab. “Rearing gelatinous organisms is pretty difficult,” she said.

“I was able to actually collect some of those medusae last year during the bloom, but rearing gelatinous organisms is pretty difficult,” Stajner said. The organisms died in the lab.

Stajner left May 1 on an eight-day expedition to sample velella at multiple points along the Santa Lucia Bank and Escarpment in the Channel Islands, with the goal of getting “a better idea of their role in the local ecosystem and trying to understand what these big blooms mean,” she said.

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Column: How the GOP — with Democratic Party connivance — has undermined a crucial effort to avert the next pandemic

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Column: How the GOP — with Democratic Party connivance — has undermined a crucial effort to avert the next pandemic

We’ve all come to recognize that committee hearings conducted by the Republican House majority are almost invariably clown shows featuring spittle-flecked posturing by members intent on displaying their ignorance to an appreciative crowd.

Wednesday’s hearing by the Select Subcommittee on the Coronavirus Pandemic was a crystalline example of the genre. It was designed around the grilling of Peter Daszak, the head of EcoHealth Alliance, which oversees international virus research funded by federal agencies.

The members scraped along rock-bottom, but the most telling moment may have been this exchange between Rep. Morgan Griffith (R-Va.) and Daszak. Asked to explain an apparent (but not real) discrepancy in a progress report EcoHealth submitted to the government, Daszak started to answer, but a theatrically fulminating Griffith cut him off.

Our organization, staff, and even my own family were often targeted with false allegations, death threats, break-ins, media harassment, and other damaging acts.

— Peter Daszak, EcoHealth Alliance

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“I can give you the answer to your question,” Daszak said.

“I’m going to answer it for you!” Griffith shot back, then outrageously accused Daszak of lying. Daszak didn’t get a chance to reply.

The whole session, more than three hours, went that way. The members kept peppering Daszak with questions about abstruse matters of science and the grant-making process, only to rudely cut him off when he tried to respond. They misquoted him to his face, misrepresented his work, and spouted cocksure inanities showing with every word that, scientifically speaking, they have no idea what they’re talking about.

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Ideally, congressional hearings should be fact-finding efforts. This was nothing of the kind. It was an opportunity for posturing by politicians intent only on smearing Daszak and EcoHealth on the pretext of getting to the bottom of the pandemic’s cause.

How do we know this? From the fact that hours before the hearing even began, the subcommittee released a report calling on the National Institutes of Health and the Department of Health and Human Services to “immediately commence suspension and debarment proceedings against both EcoHealth and Dr. Daszak” — in other words, permanently cut them off from federal funding.

One more thing about this ludicrious cabaret act: The Democratic committee members, who should have been standing up for science and scientists, did the opposite by throwing Daszak under the bus.

In his opening statement, Ranking Member Raul Ruiz (D-Indio), attacked the GOP majority’s preposterous position that the U.S. government funded research that created the virus responsible for COVID-19. But he accepted its position that Daszak “sought to deliberately mislead” government regulators.

Ruiz’s statement was echoed by other Democrats, including Rep. Debbie Dingell (D-Mich.). Perhaps they hoped that by allowing Daszak to be drawn and quartered, they might persuade the Republicans to climb down from their evidence-free claims about government complicity in the pandemic’s origins.

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Their hearts didn’t seem to be in it, though; they talked as though their main concern was that EcoHealth was spending government funds. They all seemed to be reading from the same ChatGPT script, the key phrase of which was: “poor steward of the taxpayers’ dollars.” Nothing about EcoHealth’s significant achievements in public health.

That makes the Democrats’ performance all the more shameful and cowardly. They’re knowingly participating in a flagrantly fictitious smear campaign.

Let’s examine the background of this display of partisan grandstanding.

Fundamentally, it’s part of a disreputable campaign to demonize responsible scientists such as Anthony Fauci, who retired in 2022 as director of the National Institute of Allergy and Infectious Diseases and was one of the most respected virologists and public health professionals in the world.

Republican leaders and the right wing have tried to turn Fauci into a sinister figure by advancing the absurd proposition that he somehow played a role in creating COVID-19 and spreading it worldwide, and that he masterminded the nation’s anti-pandemic policies, even though he had zero authority to do so.

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This is no innocent game; it has subjected Fauci, who was a top pandemic advisor to Donald Trump until his resistance to Trump’s unhinged takes on the pandemic led to his being sidelined at the White House, to death threats and unending vilification on social media.

Daszak has come in for more than his share of character assassination. Social media posts referring to him have included the image of a guillotine. As the pandemic developed, Daszak told the committee in his opening statement Wednesday, “Our organization, staff, and even my own family were often targeted with false allegations, death threats, break-ins, media harassment, and other damaging acts.”

One recent post on X (formerly Twitter) said “the Daszak family should be shot down.” Daszak says he has asked X to cancel the abusive, anonymous account, without success.

What’s the purpose of this campaign? The attack on the credibility of science and scientists has arisen because validated scientific findings about global warming and the origins of COVID-19 cause economic and political discomfort to Big Business and know-nothings who believe that undermining science will advance their political careers. (I’m looking at you, Robert F. Kennedy Jr.)

An essential tenet of the right-wing position on COVID-19 is that the virus escaped from a Chinese laboratory, specifically the Wuhan Institute of Virology. Superficially this is an alluring theory, since the initial outbreak occurred at a wildlife market in that city. But there is absolutely not a speck of evidence for that theory, and scientific research overwhelmingly indicates that the virus reached humans via a spillover from infected wildlife — the path followed by countless viral outbreaks over human history.

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Lab leak advocates love to point to a statement FBI Director Christopher Wray made in an interview with Fox News in March 2023 — that the bureau had concluded with “moderate confidence” that the virus had escaped from the Chinese lab. But he cited no evidence; the FBI’s assessment, which had been previously disclosed, had been part of a survey of all U.S. intelligence agencies that largely contradicted the FBI’s position. And in June, a report from the Office of the Director of National Intelligence refuted claims that the Chinese lab had played any role in the pandemic.

Anyway, the WIV isn’t exactly near the market — it’s miles away on the far side of the Yangtze River, in a city as densely populated as Los Angeles, with almost three times L.A.’s population, and a huge regional transportation and commercial hub.

That brings us back to EcoHealth, which was founded in 1971 and has long been an essential clearinghouse for funding for research into “emerging disease threats to the U.S.,” as Daszak said in his opening statement.

That has included providing funds for the WIV and other research in China, where viruses capable of jumping into the human population — as did SARS-CoV-2, the virus behind COVID-19 — are commonly found in bats, and where a vigorous, illicit trade in wildlife brings millions of humans into direct contact with potential disease carriers.

EcoHealth’s relationship with Chinese research institutions was open and aboveboard, and its funnelling U.S. grants to those institutions explicitly approved by the NIH and HHS.

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EcoHealth was long considered a gold-plated research organization. “Their grants, when reviewed scientifically, scored at the highest levels in the scientific community,” says Gerald T. Keusch, a former associate director of international research at NIH. “The work they proposed was absolutely stunningly good.”

An internal memo prepared at NIH for a Fauci news conference in January 2020 described EcoHealth as one of “the biggest players in coronavirus work” and Daszak as one of “the world’s experts in … non-human coronaviruses” such as SARS-CoV-2.

As I’ve reported, EcoHealth’s useful and productive role in virological research began to unravel at a news conference April 17, 2020 when a reporter from a right-wing organization mentioned to then-President Trump that NIH had given a $3.7-million grant to the Wuhan Institute of Virology. (Actually, the WIV grant, which was channeled from a larger EcoHealth grant, was only $600,000).

Trump, sensing an opportunity to show a strong hand against China and advance his effort to blame the Chinese for the pandemic, responded: “We will end that grant very quickly.” The NIH terminated the full EcoHealth grant one week later prompting a backlash from the scientific community, including an open letter signed by 77 Nobel laureates who saw the action as a flagrantly partisan interference in government funding of scientific research.

The HHS inspector general found the termination to be “improper.” NIH reinstated the grant, but immediately suspended it until EcoHealth met several conditions that were manifestly beyond its capability, as they involved its demanding information from the Chinese government that it had no right to receive.

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The EcoHealth grant was finally restored in May 2023. By then, EcoHealth no longer had a relationship with WIV, which had been barred from receiving any NIH funds. Still, at the time I celebrated the end of a Trump-inspired three-year shutdown of field work to examine how viruses move from rural wildlife to humans. Unfortunately, that was premature.

Since then, Daszak told me, NIH has continued to erect bureaucratic barriers preventing EcoHealth from accessing funds under the grant, in effect freezing its ability to work.

At Wednesday’s hearing, the GOP tried to pretend that the decision to terminate the grant was all NIH’s idea. “This was not ended by the president of the United States,” declared Mitchell Benzine, counsel to the subcommittee’s Republican majority.

Benzine has a suspiciously short memory. According to documents that the subcommittee itself made public, on Jan. 5 this year, Benzine himself elicited closed-door testimony from Lawrence Tabak, a top NIH official, that after that 2020 news conference “[Trump Chief of Staff] Mark Meadows called the Office of General Counsel at HHS, who then called Dr. Tabak, who then called Dr. [Michael] Lauer, who was instructed to cancel the grant.” Can’t get a much more direct line from Trump to NIH than that.

(Lauer is an NIH functionary who has been a key figure placing the bureaucreatic obstacle course before EcoHealth; my request for comment from him and Tabak was met with a no-comment from NIH.)

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Wednesday’s hearing largely recapitulated the attacks on EcoHealth that have been floating in the right-wing fever swamp for four years now. They include a litany of minor bureaucratic snafus, such as a grant progress report that missed a deadline (Daszak said the problem was a glitch in an NIH web portal that prevented it from being submitted on time).

One key assertion is that EcoHealth was funding “gain of function” research at the Wuhan Institute. “Gain of function” is a widely misunderstood term that has become a shibboleth for proponents of the lab-leak hypothesis, who use it as an all-purpose symbol of sinister behavior, like “critical race theory” or “DEI” (diversity, equity and inclusion).

Technically speaking, gain-of-function is a method of modifying a pathogen in the lab to gauge its infectiousness in humans, the better to develop countermeasures such as vaccines. The right-wing claims that such research in China funded by NIH and EcoHealth created SARS-CoV-2, which then escaped into the wild.

There’s no evidence that the Wuhan lab did anything like that, and experienced virologists have questioned whether it’s even technically possible to have created the SARS2 virus given today’s level of knowledge. The U.S. government placed a moratorium on gain-of-function research from 2014 through 2017 to allow for the development of best-practice protocols.

NIH explicitly confirmed to EcoHealth that the studies it was funding didn’t qualify as gain-of-function under its own definition. That didn’t stop the committee members from wasting long swaths of their session accusing Daszak of secretly funding such experiments.

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The attacks on EcoHealth appall scientists and public health experts who know that the organization’s work in identifying potential pandemic sources and crafting responses has never been more important. Agricultural authorities are dealing with the spread of a bird flu virus into cattle herds, another case of species-to-species, or zoonotic, viral transmission.

Given the bipartisan attacks against it, whether EcoHealth can avoid being cut off from all government funding is an open question. But that only underscores the supine irresponsibility with which Democrats have bought into the right wing’s attack on the organization and its crucial work.

“We now have zoonotic threats emerging at an accelerating cadence,” says Peter Hotez, a molecular virologist who is dean of the National School of Tropical Medicine at Baylor College of Medicine in Houston.

“This is a time when we need to be doubling down and expanding our global virus surveillance networks,” Hotez told me. “By making up allegations, they’re undermining the work of EcoHealth and other organizations committed to understanding how viruses are jumping from animals to humans. We’re creating incredible vulnerability for ourselves. They’re damaging our national security. That to me is unforgivable — that they’re willing to jeopardize national security for political expedience.”

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